Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.73 / $90.73 / $90.73	Facility	26	$90.73	$90.73	$90.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.39 / $522.98 / $522.98	Professional		$314.39	$522.98	$522.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $217.44 / $223.96 / $230.49	Facility	26	$217.44	$223.96	$230.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.62 / $869.56 / $1,086.95	Professional		$711.62	$869.56	$1,086.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $361.35 / $497.87 / $1,514.09	Professional		$361.35	$497.87	$1,514.09
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $75.93 / $105.35 / $298.49	Professional	26	$75.93	$105.35	$298.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $223.96 / $223.96 / $223.96	Facility	26	$223.96	$223.96	$223.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.89 / $503.03 / $1,251.01	Professional		$368.89	$503.03	$1,251.01
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $223.96 / $230.49 / $410.16	Facility	26	$223.96	$230.49	$410.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.53 / $756.75 / $1,239.20	Professional		$602.53	$756.75	$1,239.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $304.98 / $613.63	Professional		$74.22	$304.98	$613.63
United Facility/Professional Professional Modifier Low / Median / High Price $368.89 / $440.00 / $673.70	Professional		$368.89	$440.00	$673.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.99 / $681.00 / $801.10	Professional		$537.99	$681.00	$801.10